Cochrane · systematic review · CD006491

Mefloquine for preventing malaria during travel to endemic areas

Tickell‐Painter, M, Maayan, N, Saunders, R, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

Infectious Diseases2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
36
current version
GRADE rated
0
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 36 · 100%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 2 versions

Mefloquine versus atovaquone‐proguanil for preventing malaria in travellers

Population: non‐immune adults and children travelling to or living in malaria‐endemic settings
17 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical malaria
Mefloquine vs atovaquone‐proguanil
no estimate extracted2 studies · 1293 participantsUngraded
Serious adverse effects
Mefloquine vs atovaquone‐proguanil
RR 1.4 [0.08, 23.22]4 studies · 3693 participantsUngraded
Discontinuation of drug due to adverse effects
Mefloquine vs atovaquone‐proguanil
RR 2.86 [1.53, 5.31]3 studies · 1438 participantsUngraded
Abnormal dreams
Mefloquine vs atovaquone‐proguanil
RR 2.04 [1.37, 3.04]1 study · 976 participantsUngraded
Insomnia
Mefloquine vs atovaquone‐proguanil
RR 4.42 [2.56, 7.64]1 study · 976 participantsUngraded
Anxiety
Mefloquine vs atovaquone‐proguanil
RR 6.12 [1.82, 20.66]1 study · 976 participantsUngraded
Depressed mood
Mefloquine vs atovaquone‐proguanil
RR 5.78 [1.71, 19.61]1 study · 976 participantsUngraded
Abnormal thoughts or perceptions
Mefloquine vs atovaquone‐proguanil
RR 1.5 [0.3, 7.42]3 studies · 2433 participantsUngraded
Nausea
Mefloquine vs atovaquone‐proguanil
RR 2.72 [1.52, 4.86]1 study · 976 participantsUngraded
Vomiting
Mefloquine vs atovaquone‐proguanil
RR 1.31 [0.49, 3.5]1 study · 976 participantsUngraded
Abdominal pain
Mefloquine vs atovaquone‐proguanil
RR 0.9 [0.52, 1.56]1 study · 976 participantsUngraded
Diarrhoea
Mefloquine vs atovaquone‐proguanil
RR 0.94 [0.6, 1.47]1 study · 976 participantsUngraded
Headache
Mefloquine vs atovaquone‐proguanil
RR 1.72 [0.99, 2.99]1 study · 976 participantsUngraded
Dizziness
Mefloquine vs atovaquone‐proguanil
RR 3.99 [2.08, 7.64]1 study · 976 participantsUngraded
Pruritis
Mefloquine vs atovaquone‐proguanil
RR 1.28 [0.6, 2.7]1 study · 976 participantsUngraded
Visual impairment
Mefloquine vs atovaquone‐proguanil
RR 2.04 [0.88, 4.73]1 study · 976 participantsUngraded
Mouth ulcers
Mefloquine vs atovaquone‐proguanil
RR 1.45 [0.7, 3]1 study · 976 participantsUngraded

Mefloquine versus doxycycline for preventing malaria in travellers

Population: Non‐immune adults and children travelling to malaria‐endemic settings
19 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical malaria
Mefloquine vs doxycycline
RR 1.35 [0.35, 5.19]4 studies · 744 participantsUngraded
Serious adverse effects
Mefloquine vs doxycycline
RR 1.53 [0.23, 10.24]3 studies · 3722 participantsUngraded
Discontinuations due to adverse effects
Mefloquine vs doxycycline
RR 1.08 [0.41, 2.87]4 studies · 763 participantsUngraded
Abnormal dreams
Mefloquine vs doxycycline
RR 10.49 [3.79, 29.1]4 studies · 2588 participantsUngraded
Insomnia
Mefloquine vs doxycycline
RR 4.14 [1.19, 14.44]4 studies · 3212 participantsUngraded
Anxiety
Mefloquine vs doxycycline
RR 18.04 [9.32, 34.93]3 studies · 2559 participantsUngraded
Depressed mood
Mefloquine vs doxycycline
RR 11.43 [5.21, 25.07]2 studies · 2445 participantsUngraded
Abnormal thoughts or perceptions
Mefloquine vs doxycycline
RR 6.6 [0.92, 47.2]2 studies · 2445 participantsUngraded
Nausea
Mefloquine vs doxycycline
RR 0.37 [0.3, 0.45]5 studies · 2683 participantsUngraded
Vomiting
Mefloquine vs doxycycline
RR 0.18 [0.12, 0.27]4 studies · 5071 participantsUngraded
Abdominal pain
Mefloquine vs doxycycline
RR 0.3 [0.09, 1.07]3 studies · 2536 participantsUngraded
Diarrhoea
Mefloquine vs doxycycline
RR 0.28 [0.11, 0.73]5 studies · 5104 participantsUngraded
Dyspepsia
Mefloquine vs doxycycline
RR 0.26 [0.09, 0.74]5 studies · 5104 participantsUngraded
Headache
Mefloquine vs doxycycline
RR 1.21 [0.5, 2.92]5 studies · 3320 participantsUngraded
Dizziness
Mefloquine vs doxycycline
RR 3.49 [0.88, 13.75]5 studies · 2633 participantsUngraded
Visual impairment
Mefloquine vs doxycycline
RR 2.37 [1.41, 3.99]2 studies · 1875 participantsUngraded
Pruritis
Mefloquine vs doxycycline
RR 0.52 [0.3, 0.91]2 studies · 1794 participantsUngraded
Photosensitivity
Mefloquine vs doxycycline
RR 0.08 [0.05, 0.11]2 studies · 1875 participantsUngraded
Vaginal thrush
Mefloquine vs doxycycline
RR 0.1 [0.06, 0.16]1 study · 1761 participantsUngraded